摘要
目的:关节松动手法应用于肩关节周围炎(简称肩周炎)的治疗已多年以对照观察的方法研究关节松动手法和传统手法对肩周炎治疗作用的不同效果。方法:回顾性分析肩周炎患者598例,其中251例采用传统手法结合超短波治疗,347例采用关节松动手法结合超短波治疗,评价两组患者对手法治疗的接受率、各组患者治疗前后的关节活动度及好转或痊愈的治疗次数。结果:①关节松动手法组和传统手法组,治疗接受率分别为89.05%81.67%,差异有显著性意义(P<0.05)。②关节松动手法组的治疗次数为(30.50±6.57)次,较传统手法组犤(24.13±4.89)次犦少,差异有显著性意义(P<0.05)。③两组患者肩关节活动度治疗后较治疗前有明显改善。④治愈分别为150,101例,好转分别为159,104例。结论:关节松动手法治疗肩周炎可以改善关节活动度,较传统手法治疗轻柔,患者易接受。
AIM:Joint mobilization has been used to scapulohumeral periarthritis for a few years.The study is to compare the different effects of joint mobilization and traditional manipulation on scapulohumeral periarthritis. METHODS:Medical records of 598 patients with scapulohumeral periarthritis were retrospectively analyzed.Among them,251 patients were treated with combination of traditional manipulation and ultrashort wave electrotherapy,and 347 patients were treated with combination of joint mobilization and ultrashort wave electrotherapy.The rate of acceptance to manipulation, the range of motion(ROM) of shoulder before and after treatment, and the times of treatment of the two groups were compared. RESULTS:The rate of acceptance to manipulation in the joint mobilization group and traditional manipulation group were 89.05%and 81.67%respectively,and there was significant difference between the two groups(P< 0.05);The times of treatment in joint mobilization group(30.50±6.57) were significantly fewer than those in the traditional manipulation group(24.13±4.89)(P< 0.05);Compared with before treatment,the ROM of shoulder in two groups were significantly improved after treatment(P< 0.001);In the joint mobilization group and traditional manipulation group,150 and 101 patients were cured respectively, and 159 and 104 patients got better respectively. CONCLUSION:Joint mobilization has better curative effect and is easily acceptable for patients with scapulohumeral periarthritis.
出处
《中国临床康复》
CSCD
2004年第32期7114-7115,共2页
Chinese Journal of Clinical Rehabilitation
